Organization Active NPI

Lee Wellness Chiropractic Corporation

  • Chiropractor
  • Woodland, CA
National Provider Identifier
1306343744
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16192 Issued in CA
Legal business name
LEE WELLNESS CHIROPRACTIC CORPORATION
Practice address
1115 Cottonwood St
Woodland, CA 95695-4318
Phone
(530) 661-1375
Fax
(530) 661-1199
NPI assigned
Apr 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Romo
Title
Office Manager
Phone
(530) 661-1375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC16192 CA Primary

Addresses

Primary practice location

1115 Cottonwood St
Woodland, CA 95695-4318

Mailing address

1115 Cottonwood St
Woodland, CA 95695-4318
Phone (530) 661-1375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180613002431 CA Part B Supplier - Clinic/Group Practice 7113272238 Practice locations: Woodland, CA

National Provider Directory

National Provider Directory

Locations

1115 Cottonwood St
Woodland, CA 95695
Phone (530) 661-1375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1306343744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954318",
            "telephone_number": "530-661-1375",
            "fax_number": "530-661-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954318",
            "telephone_number": "530-661-1375",
            "fax_number": "530-661-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE WELLNESS CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-661-1375"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.